JENNIFER LYNN BEAVIN

LOUISVILLE, KY
NPI1568615292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  8632)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: TN  DS0000008818)
1223G0001X Dentist, General Practice
(Licence: IN  12011286A)
Enumeration Date2008-10-26
Last Update Date2013-01-25
Business Address
Dr. JENNIFER LYNN BEAVIN D.M.D
1976 DOUGLASS BLVD
LOUISVILLE, KY 40205-1826
Phone number: 502-454-7627
Mailing Address
Dr. JENNIFER LYNN BEAVIN D.M.D
814 FETTER AVE
LOUISVILLE, KY 40217-2233
Phone number: 502-724-0397